Ngaba nawe unengxaki yokuchama emva kotyando lweprostate? Ngaba kungenxa yokufinyela kwentamo yesinyi?

Uyakhumbula ukuba unengxaki yokuchama emva kotyando lweprostate okanye unyango lomhlaza ? Mhlawumbi uzive ngathi i-urethra yakho iyancipha, okanye uzive ngathi kusekho umchamo kwisinyi sakho emva kokuba ugqibile ukuchama ? Ukuba ukhe wahlangabezana nazo naziphi na ezi zinto, usenokuba ufumene imeko ebizwa ngokuba yi-bladder neck contracture, oogqirha abayibiza ngokuba yi-bladder neck contracture . Oku kusenokuvakala kutsha kuwe, kodwa ungakhathazeki. Makhe sithethe ngayo ngokulula, ngesiSinhala onokuyiqonda.

Yintoni ukugoba kwentamo yesinyi?

Ngamafutshane, isinyi sakho somchamo sisitho esincinci esifana nengxowa esiswini sakho esisezantsi esiqokelela umchamo (umchamo). Sifana nebhaluni, sikhula xa sigcwele umchamo , size siphinde sinciphe xa uchama . Ezantsi kwesi sinyi, apho sidibana khona ne -urethra , kukho into esiyibiza ngokuba yintamo yesinyi . Oku kufana nesango, apho umchamo uqala ukuphuma khona.

Ngoku, ngamanye amaxesha emva konyango lwe-prostate, ingakumbi emva kotyando, izicubu zesilonda zinokwakheka kwindawo evulekileyo yomchamo. Loo zicubu zesilonda zibangela ukuba i-urethra ibe mxinwa, okanye inciphe. Kufana nento ebhajwa kumbhobho wamanzi kwaye inciphise ukuhamba kwamanzi. Xa indawo evulekileyo yomchamo incipha, inokwenza kube nzima ukuchama , kwaye inokukhokelela nakwezinye iimeko ezichaphazela isinyi kunye nezintso.

Khawucinge nje, njengokuba indlela ivaliwe, kunzima ukuba izithuthi zidlule, kodwa xa isinyi sivaliwe, kunzima ukuba umchamo uphume.

Ziziphi iintlobo zonyango lwe-prostate ezinokubangela le meko?

Oku akwenzeki kuzo zonke iindlela zonyango lwe-prostate. Nangona kunjalo, kunokubakho umngcipheko wokufinyela kwentamo yesinyi emva kolu nyango:

• Ukususwa kweprostate : Oku kuquka ukususa yonke okanye inxalenye yeprostate gland.
• Utyando lwe-prostate olugqithisileyo : Olu lutyando olususa ngokupheleleyo i-prostate gland, ingakumbi kwiimeko zomhlaza.
• Ukususwa kweprostate nge-transurethral resection (TURP ) : Kule nkqubo, kufakwa isixhobo nge-urethra ukuze kunqunyulwe kwaye kususwe iindawo ezinkulu ze-prostate gland.
• Unyango ngemitha : Unyango ngemitha enamandla aphezulu olutshabalalisa iiseli zomhlaza .

Akuyena wonke umntu oza kuba nale meko emva konyango, ngoko khumbula oko.

Ngaba le ntambo yesinyi inganyangeka?

Ewe, ngokuqinisekileyo inganyangeka. Ukuba unale mpawu emva konyango lwe-prostate, bonana nogqirha ngoko nangoko. Nguye oza kugqiba ukuba loluphi unyango olukufaneleyo. Akukho sizathu sokoyika.

Ixhaphake kangakanani le meko?

Esi sisifo esingaqhelekanga ngokwenene. Ngokutsho kweengcali, ngumntu omnye kuphela kwabalishumi emva kotyando lwe-prostate ofumana esi sifo (i-Bladder Neck Contracture). Ngoko ke ungakhathazeki ngokungeyomfuneko.

Zithini iimpawu zokuqunjelwa kwentamo yesinyi?

Ezi mpawu aziveli ngequbuliso, zikhula kancinci kancinci. Usenokungaziboni kwasekuqaleni.

• Kufuneka utyhale ngamandla xa uqala ukuchama . Akuphumi nje kuphela, kufuneka ucinezele kancinci.
• Intlungu xa uchama (i-dysuria). Isenokuvakala ngathi kukutsha okanye kukuhlaba.
• Umchamo ubuthathaka . Awuchami rhoqo njengoko ubuqhele ukwenza.
• Umchamo uqala kwaye uyeke. Umchamo awuphumi rhoqo, kodwa uphuma ngokukhawuleza.
• Ukuziva ngathi isinyi asikaphumi ngokupheleleyo emva kokuchama (ukugcinwa komchamo). Kuvakala ngathi kusekho umchamo oseleyo.
• Usulelo oluqhelekileyo lwendlela yomchamo ( UTIs ). Umchamo uhlala kwisinyi, nto leyo eyenza kube lula ukuba iintsholongwane zikhule.
• Ukwakheka kwamatye esinyini.
• Ukuvuza komchamo ngokungazi, okanye ukungakwazi ukulawula ukuchama (ukungakwazi ukuzibamba ngokugqithisileyo).

Ezi mpawu zihlala ziqala ukubonakala kwiinyanga ezintathu ukuya kwezintandathu emva kotyando lweprostate. Ekuqaleni, usenokungaqapheli usulelo oluninzi kwindlela yomchamo . Kodwa kancinci kancinci oku kunokwanda, kwaye usenokungakwazi nokuchama konke konke. Ke ngoko, ukuba unayo nayiphi na kwezi mpawu, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.

Kutheni le nto intamo yesinyi ivaleka? Zithini izizathu?

Oogqirha nabaphandi abakakwazi ukusho ngqo ukuba kutheni oku (Ukuqiniswa kweNtlambo yesinyi) kwenzeka. Nangona kunjalo, bacinga ukuba kukho izizathu ezimbalwa eziphambili.

Enye ingxaki eyenzeka emva kotyando lokususa i-prostate gland . Intamo yakho yesinyi iqhagamshelwe kwi-prostate gland. Ngexesha lotyando, ugqirha we-urologist uqhagamshela kwakhona intamo yakho yesinyi kwi-urethra. Oku kubizwa ngokuba yi-anastomosis . Ngoku, njengoko uphola, ihlwili legazi (i-hematoma) linokwenziwa phantsi okanye phakathi kwee-sutures. Eli hlwili legazi linokubangela ukuba ii-sutures zitsale okanye ziqhekeke. Emva koko, kwakheka izithuba apho unxibelelwano lwenziwe khona. Ezi zithuba zizaliswa zii-scar tissue. Ezo scar tissue zithintela indlela ephakathi kwesinyi kunye ne-urethra.

Esinye isizathu sinokuba kukuba i-anastomosis ayifumani igazi elaneleyo . Ukuba imithungo iqinile kakhulu, imithambo yegazi ekufutshane inokuxinana kwaye ukuhamba kwegazi kunokuncipha. Oku kunokubangela amanxeba.

Ngubani ochaphazeleka kukuqunjelwa kwentamo yesinyi?

Le meko inokwenzeka nakubani na okhe watyandwa iprostate.

Nangona kunjalo, ukuba unezinye iimeko zempilo ezichaphazela ukuhamba kwegazi xa utyando lwe-prostate - umzekelo , isifo seswekile okanye isifo sentliziyo - usenokuba sengozini enkulu yokuba nale ngxaki yentamo yesinyi.

Ifunyaniswa njani le meko?

Ukuba uneempawu zokuvaleka kwentamo yesinyi, ugqirha womchamo kuphela onokuthi akuqinisekise oku. Uza kukuhlola aze akuyalele ukuba kwenziwe uvavanyo oluninzi.

Zeziphi iimvavanyo ezenziwayo koku?

Ugqirha angenza iimvavanyo ezifana nezi:

• I-Cystoscopy : Kule nkqubo, ugqirha ufaka ityhubhu encinci (i-cystoscope) enekhamera kunye nokukhanya okufakwe kwi-urethra yakho kwisinyi sakho. Ungakhathazeki, uya kunikwa i-anesthesia yendawo ukuze ungeva ntlungu. Isinyi sinokuzaliswa ngamanzi acocekileyo okanye isisombululo se-saline ukuze ubone ngaphakathi kwesinyi ngokucacileyo.
• I-Cystourethrogram : Kolu vavanyo, ugqirha ufaka ityhubhu encinci yeplastiki eguquguqukayo (i-catheter yomchamo) nge-urethra yakho iye kwisinyi sakho. Idayi ekhethekileyo (idayi yomahluko) ifakwa ngetyhubhu iye kwisinyi sakho. Emva koko kuthathwa imifanekiso ye-X-ray yesinyi sakho. Idayi ibangela ukuba isinyi sidumbe kwaye ibonise ngaphakathi ngokucacileyo.
• I-voiding cystourethrogram (VCUG ) : Oku kufana ne-cystourethrogram engasentla. Nangona kunjalo, uyachama .I-X-ray ithathwa ngexesha lokukhupha igazi.
• Uvavanyo lwe-Uroflow : Olu vavanyo luvavanya ukuba isinyi sakho siphuma kakuhle kangakanani xa uchama . Lulinganisa izinto ezifana nesantya kunye nobungakanani bomchamo owuphumayo.
• Uvavanyo lomchamo oluhlala emva kokungasebenzi (uvavanyo lwe-PVR ) : Olu vavanyo lusebenzisa i- ultrasound scan ukulinganisa ukuba ingakanani intsalela yomchamo kwisinyi emva kokuba ugqibile ukuchama .

Olu vavanyo luvumela ugqirha ukuba aqonde kakuhle ukuba intamo yesinyi sakho ivalekile kangakanani kwaye yintoni unobangela.

Inyangwa njani i-bladder neck contraction?

Kukho iindlela ezahlukeneyo zonyango zoku. Ugqirha wakho uya kukhetha unyango olungcono ngokwemeko yakho.

• Ukwandisa : Olu asilotyando. Yinto enokwenziwa eofisini kagqirha. Uza kufaka iityhubhu ezinkulu kancinci kancinci kwi-urethra yakho. Oku kuya kwandisa kancinci indawo evalekileyo. Emva koko, kuza kufakwa ityhubhu encinci (i-catheter yomchamo) ukuze kukhutshwe umchamo kwisinyi sakho.
• Inkqubo ye-Transurethral : Olu lutyando olwenziwa phantsi kwe-anesthesia. Ugqirha usebenzisa i-resectoscope, isixhobo esifana ne-cystoscope, kwaye usebenzisa umbane ukususa izicubu ezixineneyo kwi-urethra.
• Ukwakhiwa ngokutsha komchamo kunye nokuphambuka komchamo : Oku kwenziwa kuphela xa intamo yesinyi ivalekile kakhulu. Ngamanye amaxesha kufuneka kususwe yonke okanye inxalenye yesinyi. Emva koko kwenziwa indlela entsha yokuphuma komchamo emzimbeni. Ngokwesiqhelo, kwenziwa umngxuma omncinci (stoma) esiswini apho umchamo uqokelelwa khona kwingxowa.

Ugqirha wakho uza kukuxelela okungakumbi ngale ndlela yonyango.

Ingaba i-Bladder Neck Contracture iyaziphilisa ngokwayo?

Hayi, le meko ayizukuphela yodwa. Nangona kunjalo, ukuba ukudumba kwakho akukubi kakhulu, oko kukuthi, kuncinci , ugqirha wakho angathabatha indlela "yokulinda ubone". Oku kuthetha ukuba wena nogqirha niza kujonga ukuba kukho utshintsho na kwiimpawu zakho.

Ukuvaleka kwakho kuthathwa njengokuncinci kuphela ukuba akubangeli monakalo kwizintso zakho kwaye ungakhupha yonke into kwisinyi sakho ngaphandle kweengxaki.

Kuthatha ixesha elingakanani ukuphola emva kotyando lwentamo yesinyi?

Uninzi lwabantu luyaphola kwiiveki ezimbini ukuya kwezintathu emva kotyando ukuze kunyangwe ukuvaleka kwentamo yesinyi.Kuza kuthatha malunga nemizuzu eli-10 ukuba umntu aphile. Nangona kunjalo, ayinguye wonke umntu ophila ngexesha elinye. Ugqirha wakho uza kukunika umbono othile ngale nto.

Ngaba ukuqhoqhoqhoka kwentamo yesinyi kungathintelwa?

Akukho nto unokuyenza ukuthintela oku, kuba luhlobo olungaqhelekanga lwezicubu ezinobungozi olunokwenzeka emva konyango lwe-prostate.

Yintoni endimele ndiyilindele ukuba intamo yam yesinyi iyaqina?

Unyango lwale meko ludla ngokuba yimpumelelo. Nangona kunjalo, ngamanye amaxesha izicwili ezibomvu zinokuphinda zibuye kwaye zikwazi ukushwabana . Izicwili ezibomvu zinokuphinda zibuye kwezi meko zilandelayo:

• Ukuba ufumene unyango lwe-radiation .
• Ukuba ukhe wenza olunye utyando okanye iinkqubo kwi-urethra yakho.
• Ukuba kukho naziphi na iingxaki eziye zenzeka ngexesha lonyango lokuqala lwentamo yesinyi.

Ukuba ukuvaleka kuphinde kwavela, unokufuna unyango olongezelelweyo.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zokuqina kwesinyi emva konyango lwe-prostate, qiniseka ukuba ubona ugqirha . Kwakhona, ukuba unyangwa oku, xelela ugqirha wakho ukuba ubonakalisa iimpawu ezintsha okanye ukuba iimpawu zakho ezikhoyo ziya zisiba mandundu.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba kukho nayiphi na kwezi zinto eyenzekayo, yiya kwigumbi likaxakeka ngokukhawuleza :

• Ukuba awukwazi ukuchama konke konke.
• Ukuba ufumana iintlungu eziqatha esiswini okanye kwindawo yemiphunga.
• Ukuba ubila kakhulu.

Ndingayibuza yiphi imibuzo ugqirha wam?

Kunganceda ukubuza le mibuzo xa ubona ugqirha wakho:

• Ndiyifumene njani le ntambo yesinyi?
• Loluphi unyango olundicebisayo?
• Kuthatha ixesha elingakanani ukuchacha emva kolo nyango?
• Ngaba ukuxinana kwesinyi sam kungabuya emva konyango?

Khumbula, ukuvaleka kwentamo yesinyi yimeko engaqhelekanga eyenza kube nzima ukuchama . Kubantu abaninzi, iimpawu ziyaphela emva konyango. Nangona kunjalo, kunokwenzeka ukuba le meko ibuyele kwaye ifune unyango olongezelelweyo.

Umyalezo Wokuya Ekhaya

Ukuba uneempawu ezinje ngobunzima bokuchama , urethra ebuthathaka, okanye ukukhupha umchamo ngokupheleleyo emva konyango lweprostate, kusenokwenzeka ukuba kungenxa yemeko ebizwa ngokuba yiBladder Neck Contracture . Nangona le yimeko engaqhelekanga, inokunyangeka .. Musa ukoyika, bonana nogqirha womchamo ngokukhawuleza kwaye ufumane ingcebiso. Uza kukunceda ukhethe unyango olulungele wena kwaye akunike isiqabu. Musa ukuzibamba, thetha ngokukhululekileyo nogqirha wakho. Impilo entle kuwe!